DINA, YUNIAR KHOIRUNNISA (2026) CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KEHAMILAN RESIKO SANGAT TINGGI DI BPM ’’V’’ KECAMATAN TANAH MERAH. Diploma thesis, POLTEKKES KEMENKES SURABAYA.
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Abstract
CASE REPORT PADA MULTIGRAVIDA TRIMESTER III DENGAN KEHAMILAN RESIKO SANGAT TINGGI DI BPM V KECAMATAN TANAH MERAH Kehamilan risiko sangat tinggi merupakan kondisi yang berisiko menimbulkan komplikasi pada ibu dan janin. Faktor seperti usia ibu ≥35 tahun, riwayat abortus, dan tinggi badan <145 cm memerlukan pemantauan serta asuhan kebidanan yang komprehensif untuk mencegah terjadinya komplikasi. Studi kasus ini bertujuan memberikan asuhan kebidanan komprehensif pada ibu hamil multigravida trimester III dengan risiko sangat tinggi di BPM V, Kecamatan Tanah Merah, Kabupaten Bangkalan. Pendekatan studi kasus Case report dilakukan pada satu orang multigravida dengan kehamilan resiko sangat tinggi dengan pendekatan manajemen kebidanan yang meliputi pengkajian, diagnosis, perencanaan, pelaksanaan, dan evaluasi. Data diperoleh melalui anamnesis, observasi, pemeriksaan fisik, pemeriksaan penunjang, dan dokumentasi. Sesuai hasil pengkajian ibu hamil G3P1A1 usia 41 tahun, mengeluhkan pusing dan mudah lelah serta ibu belum melakukan anc terpadu di sebabkan faskesnya masih terdaftar di Surabaya pada awal kunjungan. Hasil pemeriksaan menunjukkan ibu termasuk kategori kehamilan risiko sangat tinggi dengan skor KSPR 14. Selama masa pemantauan, keadaan umum ibu baik, tanda-tanda vital dalam batas normal, serta kondisi janin baik dengan denyut jantung janin normal dan pertumbuhan sesuai usia kehamilan. Dengan diagnose G3P1A1 usia kehamilan 32-33 minggu dengan kehamilan risiko sangat tinggi. Asuhan yang diberikan Melanjutkan pemantauan ANC secara rutin, pemberian terapi sesuai anjuran, edukasi kesehatan, pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K), serta melakukna pemindahan fasilitas Kesehatan, persiapan rujukan bila diperlukan, konseling mengenai kontrasepsi pasca persalinan, serta pemantauan kondisi ibu dan janin hingga persalinan. Setelah mendapatkan asuhan kebidanan, ibu menyatakan keluhan pusing berangsur berkurang hingga tidak dirasakan lagi dan kondisi tubuh terasa lebih baik dan siap untuk melakukan proses persalinan. Asuhan kebidanan yang komprehensif dan berkesinambungan pada ibu hamil multigravida trimester III dengan risiko sangat tinggi dapat mengurangi keluhan, meningkatkan kesiapan persalinan, serta mendukung pencegahan komplikasi pada ibu dan janin. Kata kunci : Multigravida, risiko sangat tinggi, case report. CASE REPORT IN THIRD TRIMESTER MULTIGRAVIDA WITH VERY HIGH RISK PREGNANCYAT BPM V, TANAH MERAH SUBDISTRICT Very high risk pregnancy is a condition that poses a significant risk of complications for both the mother and fetus. Factors such as maternal age ≥35 years, history of abortion, and height <145 cm require comprehensive monitoring and midwifery care to prevent complications. This case study aims to provide comprehensive midwifery care for a third trimester multigravida mother with very high risk pregnancy at BPM V , Tanah Merah Subdistrict, Bangkalan Regency. Case study A case report with a midwifery management approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data were obtained through anamnesis, observation, physical examination, supporting examinations, and documentation. The subject of this study was a 41-year-old pregnant woman, G3P1A1, who complained of dizziness and fatigue during the initial visit. After receiving midwifery care, the complaints of dizziness gradually subsided and were no longer felt, and her overall condition improved. Examination results showed that the mother was categorized as having a very high risk pregnancy with a KSPR score of 14. During the monitoring period, the mother's general condition was good, vital signs were within normal limits, and the fetus was in good condition with a normal fetal heart rate and growth appropriate for gestational age. G3P1A1 with third trimester pregnancy and very high risk. The condition of both mother and fetus was good, and complaints improved after midwifery care was provided. Continued routine ANC monitoring, therapy as recommended, health education, implementation of the Birth Planning and Complication Prevention Program (P4K), preparation for referral if needed, counseling on postpartum contraception, and monitoring of maternal and fetal condition up to delivery. Comprehensive and continuous midwifery care for third trimester multigravida mothers with very high risk pregnancies can reduce complaints, improve delivery readiness, and support the prevention of complications in both mother and fetus. Keywords : Multigravida, Very high risk, Case report.
| Item Type: | Thesis (Diploma) |
|---|---|
| Contributors: | Contribution Contributor NIDN/NIDK UNSPECIFIED Suryaninghsih, Suryaninghsih NIDN4024057801 UNSPECIFIED Rodiyatun, Rodiyatun NIDN4010026601 |
| Additional Information: | 7LTA20260026 |
| Uncontrolled Keywords: | Multigravida, risiko sangat tinggi, case report |
| Subjects: | R Medicine > Midwifery |
| Divisions: | Poltekkes Kemenkes Surabaya > Jurusan Kebidanan > Program Studi DIII Kebidanan Bangkalan |
| Depositing User: | Mesgimah |
| Date Deposited: | 16 Oct 2026 06:11 |
| Last Modified: | 16 Oct 2026 08:28 |
| URI: | http://repo.poltekkes-surabaya.ac.id/id/eprint/12794 |
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